Provider Demographics
NPI:1932545266
Name:MARKEY, SHANE (DDS, MS)
Entity type:Individual
Prefix:
First Name:SHANE
Middle Name:
Last Name:MARKEY
Suffix:
Gender:M
Credentials:DDS, MS
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10730 N ORACLE RD
Mailing Address - Street 2:APT 15204
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9304
Mailing Address - Country:US
Mailing Address - Phone:347-558-5299
Mailing Address - Fax:
Practice Address - Street 1:2258 W. ROOSEVELT BLVD
Practice Address - Street 2:SUITE A DENTISTRY OF THE CAROLINAS
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110
Practice Address - Country:US
Practice Address - Phone:704-291-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ91871223X0400X
CA643121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics